Jennifer Ridolfi, LCSW

Key facts

NPI

1306188016

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

LC13625 (ME)

Practice address

15 Oak St
Springvale, ME 04083-1926

Phone

(207) 490-6900

NPI assigned

Mar 20, 2013

Sex

Female

Sole proprietor

No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• York County Community Action Corp Federally Qualified Health Center (FQHC) · Springvale, ME · NPI 1497923916
  Medicare reassignment Care Compare group NPD ME
• York County Community Action Corp Federally Qualified Health Center (FQHC) · Biddeford, ME · NPI 1265026249
  Care Compare group NPD (past)
• St Andre Home Inc. Community/Behavioral Health Agency · Biddeford, ME · NPI 1508198037
  NPD (past)

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

York County Community Action Corp (17 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.ridolfi.p1@direct.nassonhealthcare.nextgenshare.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 26, 2023.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1306188016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OAK ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831926",
            "telephone_number": "207-490-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OAK ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831926",
            "telephone_number": "207-490-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDOLFI",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springvale, ME

• Katherine Caramihalis Rackliff, MA, CCC-SLP
• Rebecca B Ready, CCC-SLP
• Karen Regan
• Heidi Marie Richards, LCSW
• Gloria Ann Richer, LCPC, CADC, CRC
• Rite Aid of Maine Inc
• Michele Rivard, LMT
• Carin E Romero, LCSW
• Rosenberg & Knudsen LLC
• Frederick Ira Rosenberg, DMD

All providers in Springvale, ME · Clinical Social Worker in Maine